Mangled Teddy Bear is a passive item in Reverie: Make Good Omissions, a mod for The Binding of Isaac.

On pickup Grants 4 Broken Hearts.

While held Grants a 4.95% chance of removing Broken Hearts after killing an enemy. If the enemy is a Boss, the chance goes up to 12.27%.

For each Broken Heart removed, spawns 1 item from the Angel Room item pool.

When Isaac has no Broken Hearts, increases Isaac's damage multiplier by 49.5%.

Mangled Teddy Bear can be found in the following item pools:

The following tags are applied to this item:

The following special synergies and interactions for Mangled Teddy Bear have been documented.

* Note that not all possible synergies and interactions are listed here.

The design of this item is derived from Flandre Scarlet's portrayal in doujin works, where she is often depicted crushing toys or holding a teddy bear.

The effect of this item closely resembles the character mechanics of Tainted Flandre.

This item pays homage to the VOCALOID song "Tokyo Teddy Bear". Its description quotes a line from the song's lyrics.
The chance of removing Broken Hearts upon killing a boss is derived from the birthday of the song's vocalists, Kagamine Rin and Kagamine Len, which is December 27.

Since the character corresponding to this item, Flandre Scarlet, and the character linked to Spirit Cannon, Hong Meiling, are a popular pair of close friends in Touhou doujin culture, this item was intentionally designed to synergize with Spirit Cannon, creating a significantly powerful combo.

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VOCALOID-Related Items:
• Mangled Teddy Bear
• Headband Headphones
• Brain Implosion Energy Drink

• Download Reverie: Make Good Omissions from the Steam Workshop.